Healthcare Policy

Healthcare Policy 20(2) February 2025 .doi:10.12927/hcpol.2025.27538

Commentary: The Fraying at the Edges of the Public Healthcare System in Canada

Deborah Milinkovic and Jeremiah Hurley

Since the passage of the Canada Health Act in 1984, advocates for private finance in Canada have challenged the CHA and its underlying access and equity principles. Such challenges have grown in recent years to encompass, among other things, facility fees, membership fees, private virtual care, private interprovincial surgery clinics, and private practice nurse practitioners. The continued technological and organizational evolution of healthcare will expand and complicate this further over time. A multi-pronged approach is needed that includes expanded data to support research on the impacts of such activity, new regulatory frameworks, and coordinated action across levels of government.

About the Author(s)

Deborah Milinkovic, MA, Senior Researcher, Centre for Health Economics and Policy Analysis, Department of Economics, McMaster University, Hamilton, ON
Jeremiah Hurley, PhD, Professor, Department of Economics and Member, Centre for Health Economics and Policy Analysis, McMaster University, Hamilton, ON

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